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Home My WebLink About0043773-HVAC ✓ `� ` CITY OF OSHKOSH N° 43773 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �`%� � 6F-" vn l6ft/`� PLAN NO. OWNER I1� U S`�'� DESIGNER USE/NATURE OF WORK�'f I��G /� �� BUILDING CONTRACTOR , Size Sq. Ft. # Rooms # Stories Height � Foundation Class of Const. Occupancy Permit HFATWC� C(�NTRACTnR r f-'G.CJ P�N LT�� Heat A/C ❑ Vent ❑ Fuel/System N -� Heat Loss BTU'S �� ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Disp —WSoft —CBasin _Lav —Sh _DW —DF —San. Sewer _WC _.FDr —SP —Ur —Storm Sewer � _Sink _LTub —Eject —SS —Water Other i FEES: Valuation $ ��' � Permit Fee Paid $�-� � �� Park Dedication $ ISSUED BY�i� Date ��%� Final/O.P. ��45 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ` �/��` g� AGENT/OWNER DATE ADDRESS TELEPHONE*